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This is VAERS ID 1758973

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First Appeared on 10/8/2021

VAERS ID: 1758973
VAERS Form:2
Age:46.0
Sex:Female
Location:Utah
Vaccinated:2021-09-09
Onset:2021-10-02
Submitted:0000-00-00
Entered:2021-10-04
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
COVID19: COVID19 (COVID19 (MODERNA)) / MODERNA 004F21A / 2 RA / IM

Administered by: Private      Purchased by: ??
Symptoms: Activated partial thromboplastin time normal, Blood lactic acid increased, Haematocrit normal, Haemoglobin normal, International normalised ratio normal, Lipase normal, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal, Mean cell volume normal, Peripheral ischaemia, Prothrombin time normal, Red blood cell count normal, Ultrasound Doppler abnormal, White blood cell count normal, Red blood cell sedimentation rate normal, Platelet count increased, Radial pulse decreased, Red cell distribution width normal, Angiogram abnormal, Human chorionic gonadotropin negative, Superficial vein thrombosis

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? No
Office Visit (V2.0)? Yes
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? Yes
Hospitalized? No
Previous Vaccinations:
Other Medications: Current Outpatient Medications Medication Sig Dispense Refill ? enoxaparin (LOVENOX) 100 MG/ML injection Inject entire contents of 1 syringe subcutaneously every 12 hours. 60 mL 0 ? NIFEdipine ER (PROCARDIA XL) 30 mg 24 hr tablet Take 1 tab
Current Illness: none
Preexisting Conditions: Patient Active Problem List Diagnosis ? Depressive disorder, not elsewhere classified ? Obesity, unspecified ? ADHD (attention deficit hyperactivity disorder), combined type ? Panic disorder without agoraphobia ? Generalized anxiety disorder ? Chronic post-traumatic stress disorder (PTSD) ? MDD (major depressive disorder), recurrent severe, without psychosis (HCC) ? Benzodiazepine withdrawal without complication (HCC) ? Relationship problem with family member ? Stress ? Tinea corporis ? Pain in joint, pelvic region and thigh ? Non-intractable vomiting with nausea, unspecified vomiting type ? Nicotine dependence (vaping until time of acute event) ? IBS (irritable bowel syndrome) ? Hypothyroidism ? Disease due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) ? Diarrhea ? Breast pain, left ? Acute right-sided low back pain without sciatica
Allergies: Promethazine: Medium Seizures convulsions unease, nervous Clindamycin: Low Other (See Comments) C-Diff
Diagnostic Lab Data: 10/2/2021 WBC: 7.6 K/mcL RBC: 4.6 x10^6/mcL Hemoglobin: 13.8 g/dL Hematocrit: 40.8 % MCV: 88.7 fL MCH: 30 pg MCHC: 33.8 g/dL RDW SD: 46.6 fL RDW: 14.3 % Platelets: 463 K/mcL High ESR: 14 mm/hr Lactic Acid, Plasma (Venous): 2.5 mmol/L High Lipase Level: 38 unit/L HCG, Beta Quantitative: <2 Coag Prothrombin Time: 12.4 seconds International Normalized Ratio: 0.9 Partial Thromboplastin Time (aPTT): 37 seconds CT Angio Upper Extremity Left 10/02/21 15:08:00 IMPRESSION: Patent and unremarkable appearance of the arterial vasculature within the arm and forearm. As before, there does appear to be at least mildly decreased perfusion of the thumb compared to the adjacent digits, although this may be partially due to technique and mild motion artifact seen in this region. US Upper Ext Segmental Pressures (WBI) 10/02/21 15:28:00 Impression: 1. Critically reduced pulsatility, left first digit. 2. No evidence of arterial insufficiency, elsewhere in the left upper extremity. 3. No evidence of arterial insufficiency, right upper extremity at the wrist level.
CDC 'Split Type':

Write-up: left thumb blood clot with ischemia (confirmed via doppler and CT anger.

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